FT Hospice RN Case Manager

National Church Residences•Columbus, OH

4d•Onsite

About The Position

National Church Residences Home Health division, located in Central Ohio, is a Home Health & Hospice agency seeking a RN Case Manager. This is a full-time position with a team of healthcare professionals. The agency is owned and operated by National Church Residences, the nation's largest provider of affordable senior housing and healthcare services. The ideal candidate will share in the vision to advance better living and care for seniors. This role primarily involves admissions and requires managing individualized plans of care, including communication with physicians, medication integration, and client/caregiver involvement. The RN Case Manager will use health assessment data to determine problems, goals, and interventions, coordinate care with community health providers and facility staff, and ensure home health eligibility. Direct client care, education, mentoring, and support, especially regarding end-of-life issues, are key components. The role also involves re-evaluating client needs, coordinating discharge planning, and attending interdisciplinary team meetings. Additionally, the RN Case Manager is responsible for the instruction, evaluation, plan development, and supervision of LPN/LVN and HH/Hospice aides.

Requirements

RN Case Manager
Full Time
Monday-Friday 8:30a-5p
Some on call weekends and holidays
Mileage Reimbursement $.72 per mile
Must be able to develop individualized plan of care with client, caregiver, and client representative involvement.
Must be able to provide education, mentoring, and support throughout the plan of care.
Must be able to notify client, caregiver, and client representative of necessary plan of care changes.
Must be able to use health assessment data to determine problems, goals and interventions.
Must be able to communicate with community health providers and facility staff to coordinate the care plan.
Must be able to work with interdisciplinary team and physician/physician extender to establish, monitor and document on-going home health eligibility.
Must be able to complete an initial assessment of client, caregiver, and client representative to determine home care needs.
Must be able to perform a complete physical assessment and obtain history of current and previous illness(es).
Must be able to initiate appropriate preventive and rehabilitative nursing procedures.
Must be able to administer medications and treatments as prescribed by the physician/physician extender.
Must be able to communicate with the physician/physician extender regarding the client’s needs and report any changes in the client’s condition.
Must be able to obtain/receive physician’s/physician extender’s orders as required.
Must be able to prepare clinical notes and update the primary physician/physician extender when necessary.
Must be able to provide direct client care as defined in the State Nurse Practice Act.
Must be able to educate and mentor the client, caregiver, and client representative in providing care related needs per plan of care.
Must be able to provide support and education on end of life issues and care to clients and caregivers.
Must be able to regularly re-evaluate client nursing needs.
Must be able to initiate the plan of care and make necessary revisions as client status and needs change.
Must be able to coordinate discharge planning in conjunction with interdisciplinary members when appropriate.
Must be able to attend and participate in scheduled Interdisciplinary team meetings.
Responsible for the instruction, evaluation, plan development, and supervision of the LPN/LVN, HH/Hospice aides per conditions of participation and as outlined by policy to include the initiation, participation, and communication of the competency evaluation.

Nice To Haves

Hospice RN Case Manager

Responsibilities

Assuring the development, implementation, and updates of the individualized plan of care, which would entail communication with all physicians involved in the plan of care and integration of orders from all physicians involved in the plan of care including those orders related to medications.
Includes the client, caregiver, and client representative in the planning process.
Develops individualized plan of care with the involvement of the client, caregiver, and client representative and provides education, mentoring, and support throughout the plan of care.
Notifies the client, caregiver, and client representative of necessary plan of care changes.
Uses health assessment data to determine problems, goals and interventions.
Communicates with community health providers and facility staff to coordinate the care plan.
Works with interdisciplinary team and physician/physician extender to establish, monitor and document on-going home health eligibility.
Completes an initial assessment of client, caregiver, and client representative to determine home care needs.
Performs a complete physical assessment and obtains history of current and previous illness(es).
Initiates appropriate preventive and rehabilitative nursing procedures.
May administer medications and treatments as prescribed by the physician/physician extender.
Communicates with the physician/physician extender regarding the client’s needs and reports any changes in the client’s condition; obtains/receives physician’s/physician extender’s orders as required.
Prepares clinical notes and updates the primary physician/physician extender when necessary.
Provides direct client care as defined in the State Nurse Practice Act.
Educates and mentors the client, caregiver, and client representative in providing care related needs per plan of care.
Provides support and education on end of life issues and care to clients and caregivers.
Regularly re-evaluates client nursing needs.
Initiates the plan of care and makes necessary revisions as client status and needs change.
Coordinates discharge planning in conjunction with interdisciplinary members when appropriate.
Attends and participates in scheduled Interdisciplinary team meetings to coordinate care plans, follow-up on changes, problem solve, etc. to ensure client’s care and treatment are properly communicated, documented and in conjunction with the physician’s/physician extender’s orders.
Plan of care is updated and appropriate to client needs.
Responsible for the instruction, evaluation, plan development, and supervision of the LPN/LVN, HH/Hospice aides per conditions of participation and as outlined by policy to include the initiation, participation, and communication of the competency evaluation.